Individual
MRS. TIFFANY SHIVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
75 FRED WILLIAMS RD, PERRY, FL 32347-1127
(386) 281-7685
Mailing address
75 FRED WILLIAMS RD, PERRY, FL 32347-1127
(386) 281-7685
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-308333
—
Other
Enumeration date
01/04/2023
Last updated
04/30/2025
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